• 제목/요약/키워드: population control

검색결과 2,813건 처리시간 0.03초

Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program

  • Liautaud, Alexandre;Adu, Prince A.;Yassi, Annalee;Zungu, Muzimkhulu;Spiegel, Jerry M.;Rawat, Angeli;Bryce, Elizabeth A.;Engelbrecht, Michelle C.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.172-179
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    • 2018
  • Background: Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. Methods: Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. Results: Participants recruited (n = 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (+12%, p = 0.002) and skills/practices (+14%, p = 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. Conclusion: Training is essential to strengthen HCWs' occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated.

인구집단 기반 건강관리모형의 적용가능성 검토: 한 지역의 의료복지사회적협동조합형 의료기관을 중심으로 (A Study on the Applicability of the Population-Based Health Care Model: Focusing on Social Cooperative-type Medical Clinics in a Local Area)

  • 이근정;오주연;이다희;함명일;이진용
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.95-103
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    • 2020
  • Purpose: This study was to examine whether a health care model that provides comprehensive medical services based on population groups to members of the medical cooperative is applicable as a policy alternative in terms of medical use and cost. Methods: Data were derived from National Health Insurance claim data in 2019. We compared the medical volume and expenses of patients who visited social cooperative-type medical clinics with other patients, control group who visited other clinics in a local area. Results: The average number of visit days was 25.3 days in social cooperative-type medical clinics, more than 24.2 days in the control group (p=.004). However, the average medical cost per visit was KRW 46 thousand in social cooperative-type medical clinics, which was significantly lower than KRW 51 thousand in the control group (p<.001), and the total medical cost was also KRW 16.1 billion in social cooperative-type medical clinics and KRW 16.9 billion in the control group. Conclusion: We identified that a population-based health care model might change patients' behaviors to health care services and decrease total medical cost. Further population based experiment is needed to develop alternative healthcare model.

농촌주민과 국민학교 교사의 구강보건관리 실태조사연구 (SURVEY ON THE KNOWLEDGE CONCERNING DENTAL HEALTH AND THE CONTROL OF DENTAL HEALTH IN INHABITANTS IN THE FARM VILLAGES, PRIMARY SCHOOL TEACHERS AND SCHOOL HEALTH NURSES)

  • 임동우;현천섭;김종배;김주환
    • 대한치과의사협회지
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    • 제9권10호
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    • pp.617-622
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    • 1971
  • In order to establish a more concrete dental health education and control program with the investigation of the knowledge levels concerning the dental health and the control of the dental health, twelve questionaires concerning the dental health were given to 263 inhabitants in the farm villages, 105 primary school teachers and 78 school health nurses. The results obtained from the information were as follows: 1. The knowledge levels of the primary school teachers and school health nurses as well as the inhabitants in the farm villages concerning the dental health were very low. 2. Most Korean population have not control ed their oral health in the right method using the toothbrushes and the dentifrices. 3. Most primary school teachers and school health nurses have not the ability to educate the primary school childen for the good dental health. 4. In Korea, the policies of the education and the control concerning the dental health must be reestablished. 5. Many Korean population complained the economic limitation and the over duties in their social life for the good dental health control. 6. It seems the complete medical and dental insurance system to be established for the good dental health control of most Korean population.

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SELECTION PROCEDURES TO SELECT POPULATIONS BETTER THAN A CONTROL

  • Kumar, Narinder;Khamnel, H.J.
    • Journal of the Korean Statistical Society
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    • 제32권2호
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    • pp.151-162
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    • 2003
  • In this paper, we propose two selection procedures for selecting populations better than a control population. The bestness is defined in terms of location parameter. One of the procedures is based on two-sample linear rank statistics whereas the other one is based on a comparatively simple statistic, and is useful when testing time is expensive so that an early termination of an experiment is desirable. The proposed selection procedures are seen to be strongly monotone. Performance of the proposed procedures is assessed through simulation study.

2,30대 여성을 대상으로 일반인과 비만치료를 위해 내원한 환자간의 체형인식과 비만도 및 체중조절실태 비교 연구 (The comparative study on body shape perception, obesity and weight control between obese outpatients and general population in $20{\sim}30$ age bracket)

  • 최순;박영은;김철수;김규태;유혜경
    • 대한한방부인과학회지
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    • 제18권4호
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    • pp.183-194
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    • 2005
  • Purpose : This study was carried out to compare actual obesity rate, body shape perception and weight control between outpatients visiting obesity center and general population in the $20{\sim}30$ age bracket. Methods : The respondents were 72 females including 38 outpatients and 34 general population in the $20{\sim}30$ age bracket. We compared the results of the questionnaires about body shape, obesity and weight control between two groups. Data were analyzed by Student T-test and Chi-square test. Results : In questionnaire survey results, the average BMI, obesity rate, body shape distortion of the respondents who have normal weight, concern for weight control in outpatients group were significantly higher than general population group. Satisfaction on weight control in distorted group was lower than undistorted group. Conclusion : A distortion of the body shape caused unsatisfaction on weight control and it was significantly high in outpatients group, especially among the respondents who have normal weight. It is considered that the distortion of the body shape should be corrected by counselling for proper treatment.

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Colorectal Cancer Incidence and Mortality in China, 2010

  • Zheng, Zhao-Xu;Zheng, Rong-Shou;Zhang, Si-Wei;Chen, Wan-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8455-8460
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    • 2014
  • Background: The National Central Cancer Registry of China (NCCR) affiliated to the Bureau of Disease Control, National Health and Family Planning Commission of China is responsible for cancer surveillance in the entire country. Cancer registration data from each local registry located in each province are collected by NCCR annually to be analyzed and published to provide useful information for policy makers and cancer researchers. Materials and Methods: Until 1st June, 2013, 219 population-based cancer registries submitted data of 2010 to the National Central Cancer Registry of China covering about 207,229,403 population, and 145 cancer registries were selected after quality evaluation for this study. Colorectal cancer cases were selected from the database according to ICD-10 coded as "C18-C20". We calculated the crude incidence and mortality rates by sex, age groups and location (urban/rural). The China population in 2000 and Segi's population were used as standardized populations for the calculation of age-standardized rates. The 6th National Population Census data of China was used to combined with the cancer registries' data to estimate the colorectal cancer burden in China in 2010. Results: Colorectal cancer was the sixth most common cancer in China. It was estimated that there were 274,841 new cases diagnosed in 2010 (157,355 in males and 117,486 in females), with the crude incidence rate of 20.1/100,000, highest in males in urban areas. Age-standardized rates by China standard population of 2000 (ASRcn) and World standard population (Segi's population, ASRwld) for incidence were 16.1/100,000 and 15.9/100,000 respectively. There were 132,110 cases estimated to have died from colorectal cancer in China in 2010 (76,646 men and 55,464 women) with the crude mortality rate of 10.1/100,000. The ASRcn and ASRwld for mortality were 7.55/100,000 and 7.44/100,000 respectively, higher in males and urban areas than in females and rural areas. The incidence and mortality rates increased with age, reaching peaksin the 80-84 year old, and oldest age groups, respectively. Conclusions: Colorectal cancer is one of the most common incident cancers and cause of cancer death in China. Primary and secondary prevention, with attention to a health lifestyle, physical activity and screening should be enhanced in the general population.

유전 알고리즘의 조기수렴 저감을 위한 연산자 소인방법 연구 (On Sweeping Operators for Reducing Premature Convergence of Genetic Algorithms)

  • 이홍규
    • 제어로봇시스템학회논문지
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    • 제17권12호
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    • pp.1210-1218
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    • 2011
  • GA (Genetic Algorithms) are efficient for searching for global optima but may have some problems such as premature convergence, convergence to local extremum and divergence. These phenomena are related to the evolutionary operators. As population diversity converges to low value, the search ability of a GA decreases and premature convergence or converging to local extremum may occur but population diversity converges to high value, then genetic algorithm may diverge. To guarantee that genetic algorithms converge to the global optima, the genetic operators should be chosen properly. In this paper, we analyze the effects of the selection operator, crossover operator, and mutation operator on convergence properties, and propose the sweeping method of mutation probability and elitist propagation rate to maintain the diversity of the GA's population for getting out of the premature convergence. Results of simulation studies verify the feasibility of using these sweeping operators to avoid premature convergence and convergence to local extrema.

시스템다이내믹스를 활용한 도시개발밀도의 적정성 평가 모델 구축 연구 (Establishment of the Measurement Model about the Adequate Urban Development Density using System Dynamics)

  • 전유신;문태훈
    • 한국시스템다이내믹스학회:학술대회논문집
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    • 한국시스템다이내믹스학회 2003년도 하계학술대회발표논문집
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    • pp.1-24
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    • 2003
  • The purpose of this paper was developing a development density control model for urban growth management, using system dynamics modeling. The density control model was developed to see how urban growth, transition, and decay occur depending on the interaction among population, houses, industry structure, land and urban infrastructure such as road, water supply, and sewage treatment facilities. Suggesting adequate level of development density control using the model was another purpose of this paper. The model was applied to An'yang city to estimate the maximum number of population, industry structures, houses, and cars that can be adequately sustained with the current An'yang city's infrastructur capacity. The computer simulation results shows that the city is overpopulated by some 90,000 people. To reduce the population to the adequate level that the current urban infrastructure can sustain, the current city regulation on floor area ratio are needed to be strengthened at least 20 to 35%.

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Insecticide resistance monitoring in Korean local populations of diamondback moth (Plutella xylostella) (I)

  • Hee-Ji Kim;Hyun Ko;Young-Nam Youn
    • 농업과학연구
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    • 제50권4호
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    • pp.829-840
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    • 2023
  • Various chemical pesticides are used to control diamondback moths, Plutella xylostella, which are agricultural pests that occur in cruciferous crops worldwide and cause economic losses. However, due to pesticide misuse, resistance to P. xylostella is consistently reported domestically and internationally. Therefore, we aimed to monitor and map regional resistance to devise efficient and economical control methods for P. xylostella in Korea. This study selected eight highly used insecticides among those registered against P. xylostella. P. xylostella were collected from three cities in the Gyeonggi and Yeongnam Provinces to evaluate insecticide resistance. As a result of experiments with populations collected from Yeoju, Gyeonggi Province, resistance ratios were 114.88, 54.75, 119.00, and 64.00 times higher than the susceptible population with methoxyfenozide, indoxacarb, cyantraniliprole, and fluxametamide, respectively. The resistance ratios of the Yongin population in Gyeonggi Province were 166.33 times with cyantraniliprole and 195.25 times with fluxametamide higher than the susceptible population. The Pocheon population in Gyeonggi Province showed a resistance ratio 283.23 times higher than methoxyfenozide. As a result of experiments with populations collected from Gimhae and Sangju, Yeongnam Province, the resistance ratios of the Gimhae population were 80.97, 138.00, and 89.50 times higher than the susceptible population with methoxyfenozide, cyantraniliprole, and fluxametamide, respectively. Meanwhile, the resistance ratios of the Sangju population were 85.83, 224.67, and 303.25 times higher than the susceptible population with methoxyfenozide, cyantraniliprole, and fluxametamide, respectively. The Yeongnam Province Tongyeong population showed a resistance ratio 367.28 times higher to methoxyfenozide.

A Model to Estimate Population by Sex, Age and District Based on Fuzzy Theory

  • Pak. Pyong-Sik;Kim, Gwan
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2002년도 ICCAS
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    • pp.42.1-42
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    • 2002
  • A model to predict population by sex, age and district over a long-range period is proposed based on fuzzy theories. First, a fuzzy model is described. Second, a method to estimate the social increase by sex and age in each district is proposed based on a fuzzy clustering method for dealing with long-range socioeconomic changes in population migration. By the proposed methods, it became possible to predict the population by sex, age and district over a long-range period. Third, the structure and characteristics of the three models of employment model, time distance model, and land use model constructed to predict various socioeconomic indicators, which are require...

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